Nursing Process with Analgesic Drugs

Question 1

Assessment

Answer 1

1. A.B.Cs
2. Allergies and any other uses of medications/herbs
3. Use of alcohol and nicotine
4. Respiratory assessment
5. Lab tests
6. Mental status
7. Motor assessment
8. Sensory assessment

Question 2

Nursing Diagnosis

Answer 2

1. Impaired gas exchange related to G.A - CNS depression - Respiratory depression
2. Decreased cardiac output
3. Acute pain related to adverse effect of spinal headache from epidermal anesthesia
4. Deficient knowledge
5. Risk for injury

Question 3

Planning Goals

Answer 3

1. Patient maintains normal and effective respiratory patterns and status
2. Patient maintains blood pressure and pulse rate within normal range
3. Patient fully understands the potential for adverse effects
4. Patient demonstrates sound knowledge base about the action and adverse effects of anesthesia
5. Patient states the potential complications of anesthesia and possible risks of CNS depression

Question 4

Outcome Criteria

Answer 4

1. Patient states measures to increase respiration
2. Patient remains well hydrated with increase fluid intake
3. Patient states measures to help minimize and prevent acute pain
4. Patient experiences maximal effects of anesthesia as noted by taking ordered meds
5. Patient remains free of injury

Question 5

Implementation

Answer 5

1. Monitoring A.B.Cs , vital signs , oxygen saturation , pulse oximetry

Question 6

Evaluation

Answer 6

Loss of consciousness and reflexes during G.A and loss of sensations.
Constantly monitor patients for adverse effects